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400 Mercer Mill Rd Elizabethtown NC 28337-3951 | |
(910) 879-3216 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 400 Mercer Mill Rd, Elizabethtown, North Carolina |
Authorized Official Name and Position | Gregory Bounds (CEO) |
Authorized Official Contact | 9102672057 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 187 Faison NC 28341-0187 Ph: () - | 400 Mercer Mill Rd Elizabethtown NC 28337-3951 Ph: (910) 879-3216 |
NPI Number | 1982357943 |
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Provider Enumeration Date | 01/31/2022 |
Last Update Date | 09/20/2022 |
Medicare PECOS PAC ID | 3173434479 |
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Medicare Enrollment ID | O20220627003559 |
Identifier | Type | State | Issuer |
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1982357943 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
The Man Cave Testosterone And Wellness, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2816 W Broad St, Elizabethtown, NC 28337 Phone: 910-801-0600 | |
Above & Beyond Wellness - Bladen Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 S Craig St, Elizabethtown, NC 28337 Phone: 910-991-3060 Fax: 910-226-7566 | |